Claire J Dombrock, GNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

878 Issued in MN

Practice address

1055 Westgate Dr Ste 100
Saint Paul, MN 55114-1451

Phone

(612) 262-7800

NPI assigned

Sep 2, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Andrew J Will MD PA

  dba Twin Cities Pain Clinic

  • Pain Clinic/Center
  • Chaska, MN
  • NPI 1669167920
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1609978584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 FRANCE AVE S",
            "address_2": "SUITE 270",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355968",
            "telephone_number": "952-841-2345",
            "fax_number": "952-841-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 WESTGATE DR STE 100",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141451",
            "telephone_number": "612-262-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMBROCK",
        "first_name": "CLAIRE",
        "middle_name": "J",
        "credential": "GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MN",
            "license": "878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "887955900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Edith Dolan, MA, OTR/L
• Emily Anne Dolan, DDS
• Elizabeth Anna Doll, PT
• Tsering Dolma
• Tenzin Dolsel, LADC
• Todd Domeyer, MD
• Daisy Doris Dominguez, LICSW
• Sandra Dominguez
• Don Habermas-Scher, D.C., P.a.
• Paul J Donahue, MD

• Gerontology Nurse Practitioner in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Gerontology Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.